Our inspector's description of this service

Berkshire West Community Endoscopy Services (hereafter referred to as BWCES) was registered with the CQC in 2016. The service is registered to provide the following regulated activity:

• Diagnostics and screening procedures.

During the inspection, we visited the procedure room, the consultation room and the recovery area. We spoke with nine staff including: registered nurses, health care assistants, reception staff, medical staff and senior managers. We spoke with three patients and two relatives and reviewed three sets of patient records.

The service has a registered manager – Annette Panting who has been in post since February 2016, when the service was registered with the CQC. The registered manager will hereafter be referred to as the service manager.

Inspection ratings

We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels:

Outstanding – the service is performing exceptionally well.

Good – the service is performing well and meeting our expectations.

Requires improvement – the service isn't performing as well as it should and we have told the service how it must improve.

Inadequate – the service is performing badly and we've taken enforcement action against the provider of the service.

No rating/under appeal/rating suspended – there are some services which we can’t rate, while some might be under appeal from the provider. Suspended ratings are being reviewed by us and will be published soon.

Ticks and crosses

We don't rate every type of service. For services we haven't rated we use ticks and crosses to show whether we've asked them to take further action or taken enforcement action against them.

There's no need for the service to take further action. If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service.

The service must make improvements.

At least one standard in this area was not being met when we inspected the service and we have taken enforcement action.